Authorisation to provide
pre-hospital emergency care and administer medications
using PHECC Clinical Practice Guidelines (CPGs)
PHECC clinical practice guidelines (CPGs) are the authority by which EMTs, Paramedics and Advanced Paramedics, when
providing care on behalf of a licenced service provider, are empowered to
administer certain medications listed in the Seventh Schedule of the Medicinal
Products (Prescription and Control of Supply) (Amendment) Regulations, 2005
(the “2005 Regulations”).
As a PHECC registered Practitioner you do not
have the authority to administer the medications contained in the Seventh
schedule of the Medicinal Products Regulations, which can be administered
according to CPG, unless you are privileged by a CPG licenced service provider.
CPG licenced service providers are
organisations who have been recognised by Council for approval to implement
The results of an internet search, conducted
on 1st December 2016 identified
the organisations listed below that appear to advertise the provision of
pre-hospital emergency care or paramedic type services.
Please note that the following
not undertaken to implement PHECC Clinical Practice Guidelines and are not
recognised by PHECC.
The following is an extract from the
legislation which underpins the authorisation by PHECC Practitioners to
administer medications under CPGs.
THE PHECC ESTABLISHMENT ORDERS (S.I. NO. 109 OF 2000 - THE PRE-HOSPITAL
EMERGENCY CARE COUNCIL, (ESTABLISHMENT) ORDER, 2000) states:
functions of Council shall be to
(o) prepare clinical
practice guidelines for pre-hospital emergency care and make such guidelines
available to pre-hospital emergency care service providers and such other
persons as it may consider appropriate."
(r) recognise, in
accordance with rules made by the Council, those pre-hospital emergency care
service providers which undertake to implement the clinical practice guidelines
prepared pursuant to sub-article (o) of this Article."
The MEDICINAL PRODUCTS (PRESCRIPTION AND CONTROL OF SUPPLY) (AMENDMENT)
REGULATIONS 2005 states:
paramedic’, ‘paramedic’ ‘emergency medical technician’ and ‘pre-hospital
emergency care provider’ have the same meaning as in the Pre-Hospital Emergency
Care Council (Establishment) Order 2000, as amended by the Pre-Hospital
Emergency Care Council (Establishment) Order 2000 (Amendment) Order 2004 ( S.I.
No. 575 of 2004”’)
· “’clinical practice
guidelines’ or “CPG” means the clinical practice guidelines prepared and
published by PHECC;”’
· “‘PHECC’ means the
Pre-Hospital Emergency Care Council established by the Pre-Hospital Emergency
Care Council (Establishment) Order 2000 ( S.I. No. 109 of 2000 );”’